- 5 hours ago
Grey's Anatomy Season 22 Episode 12
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Short filmTranscript
00:00...surgery. You're doing the ventral aortic reconstruction? Between his sepsis and the
00:04bleeding, it's our only option. Assuming that I can get the consent from his sister.
00:09You want me to talk to her? I was the one who convinced him to do the T-bar. It
00:13should be me.
00:13They believe blood was produced by the liver and consumed like food by the body's tissues.
00:19Until British physician William Harvey published a treatise so explosive it was banned in England.
00:24I spent a lot of time imagining this in med school instead of studying microbiology.
00:31That's the real thing. Measure up?
00:32I wouldn't want to inflate your ego.
00:36Well, I'm a neurosurgeon so that should pass soon.
00:43Hey, this is going to sound crazy but um...
00:49Do you want to like go on a proper date?
00:53Get dinner tomorrow night?
00:54Yeah, I'd love to, but I have my sun, um, my sunrise hiking club, uh, in the morning.
01:03Yeah, I, I just started, you know, there's nothing like him, for sure, in the morning.
01:07Right, um, I should go. I should probably change before else.
01:13He posited that blood was part of a circulatory system, continuously pumped through the body and recycled by the heart.
01:23In other words, when it comes to blood, it goes around, comes around.
01:26Oh, no, okay. What, what do you have to leave, so are we?
01:29I have to prep for external reconstruction.
01:32Dr. Wright wants to work with me more before she'll write me a letter of recommendation for that attending position
01:36in Boston.
01:36She's doing this Boston thing? What do they have that we don't?
01:39My parents, nieces and nephews, cream pie.
01:42Oh, I forgot about the pie.
01:48Uh, did you forget how to knock?
01:50The door was open.
01:51None. You're on my service today. Thought you'd be at work by now.
01:54I'll be in time for rounds.
01:55I expect you to bring your A-game. It's an important case.
01:57I always do.
01:59Oh, see you both later.
02:01Yeah.
02:03Simone!
02:04Would it kill you to be nice?
02:05She is trying to tell me what to do before I've had coffee.
02:07Where is Simone? We're supposed to be going over fertility stuff on the way in.
02:10Fertility stuff?
02:10Yeah, we're freezing our eggs. I mean, I am. I can't speak for her.
02:15Pretty sure you're just dead.
02:16Simone never made it back last night. Critical patient.
02:19Oh, then can I get a ride?
02:20Oh, me too? Please?
02:21Do I look like a soccer mom to you?
02:33She's texting me.
02:34I didn't say anything.
02:35Look, I'm meeting her, focusing on my other patients like you told me to.
02:41You must have really handed it to him.
02:43I gave him constructive feedback.
02:45At least he knows where he stands.
02:46So same with me and Dr. Wright.
02:47I know what I need to improve on.
02:49See, he thinks that I don't care.
02:51But I've been searching high and low for more infusion treatments for Katie.
02:55Any luck?
02:56Just a bunch of unanswered emails and dead ends.
03:00Sugihara wants to put her on her prior immunotherapy regimen, Alice.
03:05I'm sorry.
03:06Yeah.
03:07Hey, what's on your schedule today?
03:09Um, consults, meetings, residency, admin.
03:13Push him.
03:14Dr. Goldberg is out sick today and needs somebody to take his procedures.
03:18Oh, come on.
03:21Save some lives with me.
03:24Save some lives.
03:26Luna and Hattie are still napping.
03:29Uh, the baby monitors on the coffee table.
03:32Already mentioned that.
03:33Um, extra diapers are upstairs in a linen closet.
03:37And the, the, the pediatrician's number is on the fridge.
03:41We're not going to Siberia.
03:42I know that.
03:42And we need to find a dresser big enough for the twins today.
03:45I've been fasting in anticipation for the Swedish meatballs.
03:47So I would love to get there before I go into a hypoglycemia coma.
03:51If you have any issues at all, please don't hesitate to call.
03:54We'll do.
03:56Okay.
04:00I think you're supposed to hand over the baby now.
04:02Oh, yeah.
04:03Okay.
04:05Okay, okay.
04:06Don't wake your sisters up.
04:10Is it weird that we're handing our babies over to someone else for the first time and all I feel
04:16is...
04:16Unbridled joy.
04:21No.
04:22There might be a leak at my rental property.
04:25Where I lived before I moved in here with you.
04:27Oh, wow.
04:28I always forget that you own that dump.
04:30I installed a water sensor when the last tenants moved out and I should probably check on this.
04:35What does...
04:35Call a plumber.
04:36Oh, no.
04:37They'll charge an arm in the leg just for showing up.
04:38It won't take long to fix.
04:39Okay, I'll come.
04:41Are you sure you really want to hang out at that dump?
04:44Yeah, I'll just sit in the car.
04:45First day of freedom.
04:49Hey, so I haven't gotten officially welcomed back yet.
04:51You go somewhere tropical?
04:52Do Chicago or Boston count?
04:55Well, sabbatical is good on you.
04:57What do we got?
04:5842-year-old male head trauma after colliding with a glass door.
05:02GCS-15, no LOC, presented with epistaxis and a small forehead lack.
05:06BP is 130 over 80.
05:07Nasal bandage was applied at the scene.
05:09Okay, sir.
05:09Welcome to Grace Sloan.
05:10I'm Dr. Hunt.
05:10This is Dr. Shepard.
05:11Yeah, yeah.
05:12Do you have a safety?
05:12What are you doing?
05:13Sorry.
05:13Only my little brother could get hospitalized running into a door.
05:17Oh my, it happens more than you think.
05:18We were brunching with my work clothes.
05:20Finally got this VP promotion.
05:21I don't know what happened.
05:22I must have blacked out when I won the...
05:24Won what?
05:25Won biggest loser?
05:27We've got a possible head trauma here.
05:29What's that?
05:32It's a lottery ticket.
05:34It says you won $2 million.
05:36What?
05:37You won $2 billion?
05:40He's out.
05:41Trauma 3 is free.
05:42Let's move.
05:43Hey, hey, hand off.
05:44Okay.
05:46Hey, Griffith said you're doing the ventral aorta.
05:49I said she must have misheard.
05:51Yeah, first I need to come up with a plan to present to Leticia,
05:53who is understandably skeptical.
05:55But what?
05:55You said the T-bar went well.
05:57Well, it did.
05:57And then he coded.
05:59His pseudoaneurysm degenerated.
06:02How badly?
06:03The aorta is unsalvageable.
06:10Great glass in case of emergency.
06:12The T-bar could have worked.
06:13I had to try.
06:14We should have done this yesterday when he was more stable.
06:16We don't have time for hindsight.
06:18That's on you.
06:19You were so afraid to try this surgery again that you wasted his best shot.
06:22Nora was just as bad, if not worse.
06:24That was a miracle.
06:25You said it yourself.
06:25If this doesn't work on Corbin, that's it.
06:27We'll never try this surgery again.
06:28Now you've made that almost certain here.
06:30What do you want me to apologize and say that I was wrong?
06:32I made the right call with the information that I had at the time.
06:35And it was a bad outcome.
06:37And now Corbin is dying.
06:38So either you can help me come up with a plan to save him or stop wasting my time.
06:58Dr. Millen, Mr. Hill didn't want to start without you.
07:01I'm starting to think you abandoned me.
07:04Well, I was just finishing a chest tube.
07:05I would never abandon my favorite patient or his better half.
07:07Oh, I bet you say that to all the old fogies.
07:11I didn't realize you all knew each other.
07:13I scrubbed in on Scott's cabbage with Dr. Beckman a couple months ago.
07:16Then by all means, take it away.
07:18Scott Hill, 73, status post cabbage complicated by osteomyelitis.
07:22Now status post multiple debridements to the sternum and costal cartilage,
07:25resulting in a 12 by 10 centimeter wound.
07:28Today, we are starting his reconstruction.
07:30Yeah, I thought the cabbage would help me be more active in retirement.
07:33We're in our world traveler era, as the kids say.
07:36Love that for you guys.
07:37We did have to cancel our safari in Tanzania.
07:41Fortunately, the tour company let us reschedule.
07:44She did what you told her to do, Dr. Millen.
07:47Well, you sweet-talked them and then cried?
07:48Mm-hmm.
07:49The tears did them in.
07:51Or that, or describing this gaping hole in my chest.
07:54Okay, we're going to try and close that up today, okay?
07:57Millen, Mohanty, take him for a repeat CT to confirm her surgical plan.
08:01Got the full refund, right?
08:02Yes, told you what works.
08:04Every time.
08:05Every time.
08:05I was crying and crying.
08:08I can't believe he won two mil.
08:10So much as much as I've loaned the poor bastard.
08:12You should wait outside.
08:13Okay, let's get ready for rapid sequence intubation.
08:15I love his broke ass, but he's a sad, bottomless money pick.
08:18You know what I'm saying?
08:19Whoa, whoa.
08:20Hold the paralytic.
08:20He's waking up.
08:21Shepard?
08:22Hey, look right here.
08:24Okay, do you know your name and where you are?
08:27Jeremy, I'm in the hospital.
08:29Hey, I'm right here with you, bro.
08:32Anything of note happen today, Jeremy?
08:34Yeah, my boy got paid, y'all.
08:36Okay, let's do a fast exam and get that bleeding under control.
08:38I want to get a head CT right away.
08:40You know, I got to hold on to that.
08:42No, I think he's got it.
08:43His sweat might melt off the numbers, bro.
08:45Okay, I'm not seeing any free fluid.
08:46We need to get him upstairs.
08:48We will update you when we can.
08:49Can you please leave the room, sir?
08:50Please.
08:50Thank you so much.
08:51Goodbye.
08:53Thank you, Brian.
08:54Let's get on with the CT.
08:57I gave your sex friend a ride to work this morning.
08:59You're welcome.
09:01I hope you were normal, Griffith.
09:03I was.
09:04Yeah, we got him.
09:06Wish I could say the same from Nillin.
09:07Oh, crap.
09:08I was supposed to meet her.
09:09But you didn't.
09:10And now, Brian may or may not think that you're trying to have a baby.
09:13What?
09:14You just messenger?
09:16We will dissect away the part of Corbin's reconstructed esophagus
09:20that's behind the sternum.
09:21And that should give us the access that we need.
09:23It should?
09:24It's hard for us to know, given Corbin's scar tissue.
09:28He wanted the surgery yesterday.
09:30You talked him out of it.
09:32It was an unnecessary risk then.
09:34And now?
09:35His aorta is too damaged.
09:38It has to come out.
09:45What do you think?
09:50I know it's scary.
09:52But this surgery is Corbin's only chance of survival.
09:56And Dr. Altman and Dr. Nduko are the only surgeons who can and have done it.
10:02Yeah, after they drew it on a napkin.
10:04If it helps, I assisted on the first one.
10:07I've seen it save someone's life.
10:11If I say yes, and he dies, he will die for sure if you say no.
10:25Do it.
10:30Please don't make me regret it.
10:35Did you check Scott for scars at possible donor sites?
10:38Lots of moles, but no sign of scarring on the arms, back, abdomen, or legs.
10:43Did you measure the depth of his wound?
10:45Same as when I staffed it with you, four centimeters.
10:49How's it looking, team?
10:51The internal mammary arteries must have been sacrificed in the debridements.
10:55There's no local blood supply to plug a flap into, but we could connect it with the axilla or lateral
11:00chest.
11:01What about tunneling a mentum from the abdomen?
11:04It's interesting.
11:06Mahanti, thoughts?
11:08It's a nice idea in theory, but a free flap offers thicker, soft tissue coverage over the heart, and it
11:14looks so much better.
11:15Oh, Scott doesn't care how it looks. He just wants to go on safari.
11:18He'll care when he sees it. Trust me.
11:20Maybe, but that's if he survives a 10-hour surgery. I mean, a mentum must be less.
11:25And it comes with a built-in blood supply.
11:27This is lifelong coverage. It's what I would want on my chest.
11:31Sometimes the correct approach just takes longer.
11:33Yeah.
11:35Okay. If Scott were a 20-year-old bodybuilder, we'd do the free flap.
11:38But a mentum is the right call. Way to jump in, Ellen.
11:41I'll pay his general surgery.
11:43That's the spirit.
11:46What's your problem?
11:47I don't have one now that we're doing a mentum.
11:49You're a second year. I'm a fellow. We're not even running the same race.
11:56Hey, Nardi just fed Hattie, and now Peyton's down.
11:59I gotta pee.
12:01How's it going?
12:01The pipe is completely corroded. Why don't you take the car, and you go without me?
12:05God, you're facing an explosion of linoleum and wood paneling.
12:09Yeah, well, you've been here before.
12:10Who saw popcorn stealings were a good idea?
12:12I wonder your tenants fled.
12:14Wow.
12:16Isn't that crazy they left us?
12:18What's with all the packages?
12:19Oh, I ordered a few things that got delivered here by mistake.
12:22Uh-huh.
12:28Um, have you been spending time here?
12:33Only when I have to check on something.
12:36Okay.
12:38When was last time?
12:41Uh, touche.
12:42When you went to get diapers, and you left me with screaming twins for two hours.
12:47I did stop here briefly.
12:50I had to check on the mailbox.
12:51And then I just needed a little time to decompress.
12:55Oh, yeah.
12:57You really need to stop talking right now.
13:00Joe.
13:00You know what?
13:01You want to decompress?
13:02You want a little space?
13:04You might guess.
13:05Ah, Joe.
13:09You made that Coley look easy.
13:11Can't believe how quickly you got the critical views.
13:13Yeah.
13:16You still thinking about Katie?
13:18I just feel like I failed her.
13:21Mm-mm, mm-mm.
13:22The federal government failed her.
13:23Saving her life doesn't align with their priorities.
13:26I am her doctor.
13:28I'm supposed to figure it out.
13:30Consult requests for sternal reconstruction.
13:33Or Dr. Wright.
13:35Wright?
13:36Uh.
13:38You know, if you're not feeling up to it, I'm sure they can find somebody else.
13:43You know, I can't help Katie.
13:44But I can help you get in with Wright.
13:46Let's show plastics what you're made of.
13:51Put your hands out for me.
13:53Would you go out with someone who has kits?
13:56Are you trying to set me up?
13:57Just answer the question.
13:58No, thanks.
13:59Hey.
14:00You have kids.
14:01When do you tell people that you're saying about them?
14:04Only person I've dated so far already knew about them.
14:07You two are useless.
14:07I told him security could hold on to his ticket, but he won't let go of it.
14:10Would you?
14:11All right, Jeremy.
14:12Hold still.
14:13Okay.
14:14Hey, while it's just us...
14:16Sorry about my brother.
14:18Uh, no need.
14:20He's fine.
14:20He's a jerk.
14:21I'd sell him off for you, but he's been keeping me afloat since I lost my job, and I don't
14:24want him to cut me off.
14:25Didn't you just win the lottery?
14:27Yeah, I guess I did.
14:29He has a small contusion on a left temporal lobe, Brian.
14:33Monitor him for any change in clinical status and give prophylactic Keppra.
14:36I'll let you take it from here.
14:41It's time.
14:42You can go to the waiting room.
14:46Can he hear me?
14:47He's heavily sedated.
14:49But it can't hurt to try.
15:03I hope my son is just like you.
15:08We've decided to name him Corbin.
15:10And if you don't want us to, make it through surgery and tell me yourself.
15:19I love you.
15:24The second that you know anything...
15:26I will come and tell you.
15:28Okay.
15:35Can you come out so I can explain?
15:40How long has this been going on?
15:43I don't know.
15:43A few months.
15:44What about your tenants?
15:47I told you they moved out.
15:49A few months ago?
15:51My God, this is worse than I thought.
15:53You've been cheating on me with your house.
15:55Looks platonic, I swear.
15:57It's not like I was coming here when you were in the hospital with the girls.
16:00Oh, how thoughtful of you.
16:02We can't fit any of this stuff at our place, and music is how I relax.
16:06Crying in the shower like a normal person.
16:08You know what?
16:09I'll go shopping, and you can stay here and jam.
16:12Fine.
16:12I've got a new reverb pedal I can try out.
16:15Wait.
16:18I'll call the plumber.
16:19No, I can fix it myself.
16:21No, you've lost that privilege.
16:29I thought I saw signs of life in here.
16:31I'm not back to work until next week.
16:33I'm just grabbing a few things.
16:34Aren't you supposed to be resting?
16:36I'll rest when I'm dead, which I'm not unless Catherine finds me.
16:39Well, I won't tell.
16:41Oh, um, tell Alman good luck for me.
16:45Eventually, order?
16:46I assume you're doing it again.
16:49Richard, Teddy and I, we just signed divorce papers.
16:53Yeah, I'm sorry to hear that.
16:55Honestly, I'm not sure how he ended up here.
16:56Well, sometimes things just don't work out.
16:58More often than not, in my case.
17:00Oh, he'll get back on your feet.
17:01I'd stay for the surgery, but Catherine's at the dentist.
17:03If I'm not back before she is, there'll be hell to pay.
17:06You should go.
17:07Yeah, I'll see you by the time.
17:09It's good to see you, Richard.
17:14Someone order a general surgeon?
17:15Dr. Bailey, thanks for joining.
17:17Dr. Warren, good to see you again.
17:19At your service, or rather, on your service.
17:21Her service, actually.
17:23So I took a look at your patient scans,
17:25and, you know, should be relatively straightforward,
17:28as long as the right gastroepiploic vessel
17:31is enough to supply the omentum.
17:33Looks sufficient to me.
17:34We'll see you in the OR.
17:35You're going to harvest that omentum like you've never seen.
17:38Okay.
17:40I panicked.
17:41Oh, this is going to be harder than I thought.
17:48Oh, Juan was right.
17:49You are in the supply closet.
17:50Why are you in the supply closet?
17:52We're doing another ventral aorta.
17:53I heard.
17:54Big day.
17:55Can you watch the kids for tonight?
17:56Of course.
17:57I just wanted to say good luck.
17:59What if we can't do it again?
18:00What if Nora was just an anomaly?
18:01There was a lot of skill involved.
18:03If this doesn't work out,
18:04then Corbin never meets his nephew,
18:05and I am a fraud.
18:06When you were backed into a corner,
18:07that is when you rise.
18:08I've seen it in more zones.
18:10I've seen it in the OR.
18:11I've seen it with our kids.
18:12Don't put more pressure on me right now.
18:13I am just saying you can do this.
18:15You're just in your head.
18:16You need to take a breath.
18:17Don't tell me what I need.
18:18That's not your job anymore,
18:18and frankly, it was infuriating when it was.
18:22Okay, well, I'll get the kids from school,
18:27and good luck.
18:35That was excellent technique with the dermatome,
18:38Dr. Mahanti.
18:39Want to do the honors with the mesher?
18:41Absolutely.
18:50Pull the omentum through for me.
18:52Okay, no twisting on its pedicle,
18:55and the main vascular arcade remains intact.
18:59Well done, Dr. Warren.
19:01You're one of our best and brightest.
19:03I'd hate the illusion of plastics,
19:05but I know that's where your heart is,
19:07especially with your interest in burn patients
19:10and experience as a firefighter.
19:11Firefighter and an anesthesiologist?
19:13How many lives have you had?
19:14I like to think they all let me here.
19:16Well, that should do it for me.
19:18Thanks to Dr. Warren's dissection,
19:20your flap should cover everything you need.
19:22Hey, do you call him Dr. Warren at home, too?
19:27Okay, that looks great.
19:28Now we just need to finish the inset
19:30and get the graft on.
19:32This is OR2.
19:33Dr. Wright, they're asking for you
19:34an urgent burn case in the pit.
19:38Warren, want to join me?
19:40I'd love to.
19:41Great.
19:41Dr. Monty, you and Millen here good to finish up?
19:44Of course.
19:50Come on, now, y'all can't keep him here.
19:52We've got to go pop some bottles,
19:54celebrate on him for once.
19:55Yeah, no, sorry, doctor's orders.
19:58Let's talk dollars and cents.
19:59Of course, you're going to hit me back
20:00for the car and the back rent, right?
20:02You're a millionaire, you're a millionaire.
20:04Okay, why don't we table this
20:05until after your brother's in the hospital?
20:06Dr. J-Dog would be faced down in a ditch
20:09if it wasn't for me.
20:10You know, I've hated that nickname
20:11since I was eight.
20:11Well, I've hated picking up your tab
20:12for the last 12 months,
20:13but that's what brothers are for, right?
20:15Hey, if you don't want to do it, I will.
20:16We got a problem here?
20:17Uh, that depends.
20:18Are you going to keep being a total...
20:19You should go.
20:22Him or me?
20:23Ryan out.
20:24Now.
20:28Sorry about that.
20:29Yeah, it's fucked.
20:41Oh, hey, what do you heard this morning?
20:43Is it true?
20:44Okay.
20:44I am not actively trying to have a baby.
20:46I'm just freezing my eggs in case I want one someday.
20:49Got it.
20:49Which I might not want one.
20:50Just an insurance policy.
20:51Congrats, also none of my business.
20:52Oh, I just didn't want you to think
20:54I was withholding some critical information.
20:57Great.
20:57Because what we're doing right now
20:58doesn't have to stop.
20:59I mean, there might be a few days here and there
21:00where we shouldn't, you know?
21:02But overall, if we can keep doing...
21:04Right now, I'm trying to do my job,
21:05and I'm mostly failing,
21:06so I really can't talk.
21:07Oh, how about drink at Joe's later?
21:09Does they ever let me leave?
21:10Sure.
21:11Yeah.
21:13Okay, so...
21:14I'm sorry.
21:24I can cut those sutures for you.
21:25I've got it.
21:27Maybe they don't mind.
21:28I said no.
21:31Should I call for another resident
21:32because you clearly don't want me to help you?
21:34Not if your idea of helping
21:35is making me look ridiculous
21:36in front of our attending.
21:37You told me to be on my A game
21:39so that I can impress Dr. Wright.
21:41I applied for an attending position
21:43at the Fox flagship in Boston.
21:45It's perfect.
21:46Great benefits, grant money,
21:47post to my family,
21:48and I needed her recommendation,
21:50which I was supposed to lock down today.
21:52If you wanted me to make you look good,
21:54you should have said so.
21:56Right.
21:56I'm serious.
21:59I'll keep that in mind for next time.
22:05Can I get in on those lower inset sutures?
22:07Nope.
22:08Too close to the pedicle.
22:09I know that we have disagreed on Corbin's care,
22:13but I need to know that you are fully on board
22:16with the surgery and with me.
22:18I was on board with the surgery yesterday.
22:20Still am.
22:20And me?
22:21I'm a professional.
22:22That's not what I'm asking.
22:24It's not just that you made the wrong call.
22:26You flat out dismissed my opinion.
22:28I didn't.
22:28I considered it fully.
22:30Did you?
22:30Because if you'd set your ego aside,
22:31we may not be in this mess.
22:33Or Corbin would already be dead,
22:35and then that would be on both of us.
22:36If something goes wrong in there,
22:38I need to know you hear me.
22:40I will.
22:42You have my word.
22:44Then I'll have your back.
22:46Let's go build an aorta.
22:52Where is this guy?
22:56What are you doing?
22:57I just thought I'd see what all the fuss is about.
23:01That's my Martin.
23:04So be careful.
23:05This song is called
23:06This is What Betrayal Feels Like.
23:12Okay, I get your point.
23:13Can we put it back now?
23:14Not until you apologize.
23:21You know what?
23:21No.
23:22What is wrong with me
23:23grabbing a few minutes of alone time
23:25so I can be better for you and the kids?
23:27I had a heart pump
23:29keeping me alive
23:30after delivering two other bodies
23:32out of my body.
23:33I can't breastfeed,
23:34which I know is okay,
23:35but I still feel horrible about,
23:37and hormones have turned me
23:38into someone that I would avoid
23:39on the OB floor.
23:40I am not okay.
23:42I am not me.
23:44I am a hideous shell
23:46of my former self.
23:47And you don't see it
23:48because you're all
23:49in the man cave,
23:50which is actually
23:51an entire crappy house.
23:56Plummer's here.
24:04Here's a list of discharge summaries.
24:06Stay away from Jeremy
24:07and don't leave
24:08until you get them done.
24:08You punishing me?
24:09You were out of line.
24:10That dude was walking
24:10all over our patient.
24:11It doesn't matter.
24:12It's not a job to get involved,
24:13and if you do it again,
24:14I'll have to tell Bailey.
24:15Got it.
24:15So don't treat the whole person
24:16just to be a robot
24:17checking boxes.
24:18That's not what I say.
24:19I'd love to stay in chat,
24:20but I got a whole bunch
24:20of discharge summaries
24:21I need to go through.
24:22Thanks for the lesson, boss.
24:30I thought that Brent took it.
24:32You have a condition
24:33called SIADH.
24:34It can happen
24:35after a head trauma
24:36usually resolves on its own.
24:37Low sodium levels
24:38cause the seizure.
24:39You'll need IV fluids
24:40and medication to correct it.
24:41Okay.
24:43Boom!
24:44Don't ever say
24:45I never did anything for you.
24:46and I'm also called mom.
24:49Stop.
24:51You should let Jeremy rest.
24:52You know,
24:52I've been wanting to say this
24:53to him for a long time.
24:56I hate you.
24:57I mean, I love you.
24:58You're my brother,
24:58and I wouldn't have been able
24:59to get through this
24:59last year without you,
25:00but when you're mean about it,
25:01it makes me hate you.
25:03We were just having fun.
25:04It's not fun.
25:05Not for me.
25:06Maybe we just take a breather.
25:08I just always thought
25:09it rolled off your back.
25:11I'll lay off.
25:12Really?
25:14That's it?
25:14Yeah.
25:15I'm not a monster.
25:19I guess I should have
25:20said something years ago.
25:22I'm gonna put in your orders.
25:25He's still gonna pay me back
25:26for the ring, though.
25:29This scar tissue
25:30is cemented in.
25:32Worse than NARS?
25:33By a mile.
25:34You know what else
25:35is different this time?
25:36Blood flow.
25:37All those people
25:38watching up there.
25:40Stay focused.
25:42I don't know
25:42if we're gonna be able
25:43to get through all this.
25:47Haltman.
25:50If we give up now,
25:51he'll die.
25:55All right, um,
25:5615 blade.
25:57What are you...
25:58Using the scissors
25:58is like blunt dissection.
26:00It isn't working.
26:00I'm gonna try
26:01working layer by layer
26:02and see if I can find
26:03the correct surgical plane
26:04to orient myself.
26:07Okay, I'm with you.
26:09Thank you, Bokey.
26:11Thank you, Bokey.
26:35Impressive.
26:36And that is what
26:36Dr. Wright said.
26:38Thank you
26:39for talking me up.
26:40But someone had to.
26:41You weren't doing
26:42yourself any favors.
26:45Okay, what can I do
26:46to help you?
26:47Oh.
26:48Call more hospitals
26:49about Katie's immunotherapy.
26:50Oh.
26:51Handle bed time
26:52so you can look
26:53into more options.
26:54Yeah, I don't need
26:54any of those things,
26:55but no,
26:56I appreciate
26:56the sentiment.
26:57Hold on.
27:06How's my favorite patient?
27:08Well, nurse gave him
27:10some pretty strong pain there,
27:12so he's a little new.
27:14The love of my life
27:15over there.
27:16I love her more
27:17than I love elephants.
27:20Something wrong?
27:21Uh, the flap is dark
27:22and swollen.
27:23I'm going to take a listen.
27:28Damn it.
27:30What's happened?
27:30Everything okay?
27:31There's no signal?
27:37I'll call the OR
27:38and page Dr. Wright.
27:38Get him ready.
27:39He needs to go
27:40to surgery again?
27:41There's no blood flow
27:41to his lap,
27:42so we need to get him
27:43to the OR
27:43to see what's happening
27:44at ASAP.
27:45Don't go visit
27:46the zebras without me.
27:48Excuse me.
27:52All right,
27:53graph is completed.
27:53It's time.
27:55All right,
27:56let's rapid pace
27:56the heart.
28:00All right,
28:00clamps off.
28:01GIA stapler.
28:05All right,
28:06ready to staple
28:06off the aorta?
28:12Staple line
28:13is well-approximated
28:14mixed intact.
28:18We did it.
28:23All right,
28:24let's take them
28:24off bypass.
28:26Lamps.
28:38I am going to go
28:40update the T-shirt.
28:41Are you good?
28:41Yep,
28:41ready to close.
28:44We did it.
28:45Oh,
28:45I do go.
28:46Oh,
28:46my God.
28:47Where is it?
28:48Give me down and go.
28:48There's too much blood.
28:49All right,
28:49I've got pressure
28:50on the defect.
28:51Griffith,
28:51get in here
28:51and suction
28:52around my hand.
28:56Hang on.
28:59All right,
29:00there.
29:00A small defect
29:01on the leading edge
29:02of the staple line.
29:03We didn't fire
29:04the staples
29:04all the way across.
29:05Okay,
29:06put him back
29:06on bypass.
29:07Let's keep
29:08my blood.
29:08All right,
29:09I'm here.
29:09Okay,
29:09get your hand
29:10in here.
29:10Yep.
29:11Suction.
29:12Hang on,
29:12Carbon.
29:13Hang on.
29:20Katie Rogers,
29:2127,
29:21stage 4 gastric
29:22cancer.
29:22I already
29:23know that part.
29:23Short of breath,
29:24satting 89%,
29:25abdomen suspended.
29:26I can't breathe.
29:29No,
29:29no,
29:29it's okay.
29:30We've got you.
29:31Well,
29:31don't just stand there.
29:33Let's move.
29:50There's a stitch
29:51tied down
29:51over the pedicle
29:52cutting off
29:53its blood supply.
29:55Nothing?
29:56This is a serious
29:57mistake.
29:58Warren and I
29:59left you
29:59to complete
30:00the inset
30:00and place
30:01the skin graft.
30:02I expected it
30:03to be done
30:03not only successfully,
30:04but perfectly.
30:09The plaque
30:10looked viable
30:10when we left
30:11the OR.
30:11But we didn't
30:12see anything
30:12restrictive
30:13over the pedicle.
30:14Say good.
30:14I don't have
30:14time for excuses.
30:17Our patient
30:17now has no
30:18tissue coverage
30:19over his wound
30:20and will most
30:20likely need
30:20many surgeries.
30:21He might not
30:22survive.
30:26Just go.
30:27I'll clean up
30:28the wound
30:28and get the wound
30:29back on myself.
30:35I'll clean up
30:39almost finished
30:39closing this
30:40gap.
30:41All right.
30:41Last
30:42stitch.
30:48And
30:49right there.
30:51Done.
30:51Are you sure
30:52the closure
30:52is going to be
30:53adequate?
30:53Will the suture
30:54hold?
30:54After watching
30:54so much of
30:55Corbin's blood
30:55volume spray
30:56all over this
30:57OR,
30:57I am not
30:58sure of
30:59anything.
31:00But I
31:01watched and
31:01do to tie
31:02these sutures
31:03and they
31:03look great.
31:05So,
31:06let's take
31:07them off
31:07bypass.
31:10All right.
31:11Lamps off.
31:20We have a
31:20rental.
31:22Pressures are
31:22coming up.
31:25All right.
31:26Oh,
31:27Norman,
31:27we did it.
31:30Altman.
31:33We did it.
31:36Well done,
31:37everyone.
31:39All right,
31:39let's prep
31:40to close.
31:45$400
31:45and he has
31:46to come back
31:46tomorrow
31:47with a part.
31:48You should
31:49have fixed
31:49it yourself.
31:54You know,
31:55I'm sorry
31:56for hiding
31:56all this
31:57from you.
31:57I guess I
31:57was afraid
31:58that you'd
31:59be madder
31:59if you knew.
32:03Honestly,
32:04I'm more
32:06jealous
32:07than mad.
32:09See,
32:09you need a place
32:10like this,
32:10too.
32:11You need a place
32:11you can go
32:12for peace
32:12and quiet.
32:13A woman
32:14cave.
32:15I feel guilty
32:16even thinking
32:17about it.
32:18Why?
32:19The patriarchy.
32:22Uh-huh.
32:24Now,
32:24if we're
32:25going to get
32:25through this,
32:25we have both
32:26got to take
32:26care of ourselves.
32:27What would I
32:28even do
32:29in my...
32:30She should.
32:32Dame den.
32:33Uh-uh.
32:34Okay,
32:35I'll stop.
32:38Lady lair.
32:44You could take
32:45guitar lessons.
32:46Yeah,
32:46but I'm already
32:47a musical genius.
32:50What?
33:00You look like
33:01you've seen
33:01a ghost.
33:02Yeah.
33:03The ghost
33:04of an unmental
33:04thought that
33:05died at the
33:06hands of
33:07negligent residents.
33:09You've got
33:09a lot going on.
33:10We can chat
33:11tomorrow.
33:11No, no.
33:12It's fine.
33:13Everything's fine.
33:14It's all...
33:14It's all fine.
33:17What's up?
33:19Um,
33:21I have a son.
33:23Scout.
33:23He's five.
33:24He's adorable.
33:25He splits his time
33:26between his dad
33:28and me,
33:28and I have him
33:28tonight,
33:29and that is why
33:31I couldn't hang.
33:32You were nervous
33:33to tell me
33:33about a cute kid?
33:34It was kind
33:35of a deal-breaker
33:36in my last relationship,
33:37and that kind
33:38of broke me.
33:39And if it is
33:40a deal-breaker
33:41for you two,
33:41I totally get it,
33:42but I would rather
33:43know before
33:43starting something.
33:45That would make
33:45me a hypocrite.
33:48So?
33:51This is Zachary.
33:52He's sudden
33:53obsessed with
33:54trash compactors
33:55and synthesizers
33:56from 80s pop songs.
33:58Are you
33:59a single mom?
34:00Mm-hmm.
34:01My sister lives
34:01with me.
34:02She watches him
34:03when I reconnect
34:04with an old crush.
34:05Which happens
34:06all the time.
34:08Not really.
34:13Brain check.
34:17Brain check.
34:28His pressures
34:29are holding
34:30without much
34:31inotropic support.
34:32That's great news.
34:33Yeah.
34:35Do you think
34:35that we will ever
34:36do this surgery
34:37without major complications?
34:39There are times
34:40a charm.
34:43somehow I doubt it.
34:47We're a team
34:48on this.
34:48If we stay one,
34:49we could save
34:50way more patients
34:50than just Nora
34:51and Corbin.
34:54You've been here
34:55for two days.
34:56You should go home
34:57and I'll keep
34:58an eye on them.
34:59Thanks.
35:01Dr. Caivano to PPR.
35:03Dr. Zayno,
35:04Caivano to PPR.
35:08Poor thing.
35:09I said liters
35:10of fluid
35:10in her abdomen
35:11pushing it up
35:11on her lungs.
35:12And so we'll need
35:13to do a paracentesis
35:14if you can get me
35:15set up for that.
35:16Adams.
35:17Adams.
35:18She called
35:19and texted
35:20and I didn't respond
35:21because I was too busy
35:21following your rules.
35:23This would have
35:24happened regardless.
35:25She trusted me
35:26and she was scared
35:27and alone
35:28and I wasn't there.
35:33I think you need
35:35to take a break
35:36from this case.
35:37Oh, no, no.
35:38I would do
35:39whatever you need.
35:39No, no.
35:40It's not a punishment.
35:40I just, I think
35:42you need to step back.
35:59Breaking new ground
36:00is never easy.
36:04Adams.
36:05Yo.
36:06Thanks.
36:07I just did
36:08the ventral aorta
36:09with Altman and Ndugu.
36:10It was freaking epic.
36:12It was historic.
36:12That's cool.
36:13I'm proud of you.
36:14Something happened today?
36:16Or?
36:17My patient won the lottery.
36:18By having you
36:18as their doctor.
36:19No, no.
36:20He literally won
36:20the lottery.
36:21Too many dollars.
36:22Did not see that coming.
36:26I'm going out of town
36:27for a minute.
36:29Is everything okay?
36:30My brother's epilepsy's
36:31gotten worse.
36:32And he's in a coma.
36:35I'm sorry.
36:36You want to talk about it?
36:38No, no, no.
36:39Just, I didn't want you
36:40wondering where your lab
36:41dances went.
36:42Well, I mean,
36:42are you sure?
36:43I've been told
36:44I'm a pretty good listener.
36:45I said I'm good.
36:45You have to pull the rug
36:46out from under people.
36:47Have a good night.
36:48Shatter their reality.
36:50Ask more questions
36:51than you answer.
36:52It takes what Dr. Harvey
36:53called a love of truth
36:55and a whole lot
36:56of intestinal fortitude.
37:00Thank you for not saying anything.
37:02You didn't have to do that.
37:03I could tell that the Boston job
37:05is really important to you.
37:07It is.
37:10There will probably be an M&M soon.
37:12I'll email you my op note
37:14and photos from the OR.
37:15They'll want to review
37:16post-op imaging, too.
37:17Should I be worried?
37:21The M&M will suck,
37:23but we'll be fine.
37:25Get some sleep.
37:30But it also requires faith
37:33that the world
37:34won't come crashing down
37:35around you,
37:35that you won't be burned
37:36at the stake.
37:39How'd it go?
37:40Oh, well,
37:41it wasn't smooth sailing,
37:42but our patient is stable.
37:44That's great.
37:46So, uh,
37:47Allison wanted to fall asleep
37:49with the lamp on,
37:50so just be sure
37:51to turn it off
37:52before you go to bed.
37:53Thank you for pinch-hitting.
37:55I really appreciate it.
37:57I'm always happy
37:58to get more time with kids.
38:00I'm sorry
38:00I bit your head off earlier.
38:02You did nothing wrong.
38:03I was just in a panic spiral
38:05and I couldn't see it.
38:07Well, I stand by it.
38:08You are at your best
38:09when you're backed up
38:10against the wall.
38:11Little, mean, sometimes,
38:12but brilliant.
38:15You are never going to stop
38:17believing in me, are you?
38:20Why would I?
38:28And that this new reality
38:29is going to be better.
38:30I'll see you next time.
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